Does anyone have any specific strategies they have used to improve medication education with patients? We are looking to improve HCAHPS scores, but most importantly provide a system/process for our nurses to discuss what the medication is for and potential side effects.

Thank you for the help!

I am looking for information in regard to how other Cerner (Oracle) facilities handle the prescription bottle medication entries on the medication history. Currently our staff can only do a "add/modify compliance" function for those entries on the admission med history. This creates challenges for providers and pharmacy. If there are comments in the prescription like "take 2 tabs or take 1/2 tab, etc." then the order does not come across to pharmacy choosing the most appropriate product for the dose because the dose field has not technically been updated.

Our Health System is working on standardizing our standard phenylephrine concentration based on ASHP Adult Standard Concentration recommendations and USP 797 recommendations, "compounders must consider parameters that may affect quality, including but not limited to: Chemical and physical stability properties of the drug and/or its formulation." We currently utilize phenylephrine 10mg/250mL, but this concentration does not have stability data to support the concentration.

Does anyone have a protocol or list of meds that they allow to be administered in their ED triage/waiting areas, if they allow this at all? Does anyone allow use of IV meds in this area?

Hello
With our previous EPMA/CPOE we recorded the location of medication patches on a body map on a supplementary paper chart. This supplementary paper chart also had a section to record daily checks of the patch still being in place.
In our new electronic health record we would like to record the patch location on a body map, as it is more visual than describing the location in words.
We would also like to record that nurses have checked daily that the patch is still in place.

While I realize that ISMP endorses USP that the most prominent labelling on repackaged meds is total dose per container volume, I am looking for input regarding how your organization expresses concentration, if at all, on the container.

Greetings,
Our organization utilizes Omnicell Anesthesia Workstations in our perioperative areas. In your organization:
1) Do nurses have access to Anesthesia Workstations or is it restricted to anesthesia?
2) Are the Omnicells in your perioperative areas profiled or non-profiled.

Thank you for your time,
Sloane Hoefer
Nebraska Medicine

Hello,

At our hospital, we recently had a discussion regarding order alerts/alert fatigue and the option of turning on the 'override all' button for addressing order alerts was reviewed. I'm looking to find out what other institutions have done regarding turning on the 'override all' alerts option and if anyone used guidelines or evidence to support your decision.

Thank you,

Sadie

Hello,

We are seeing an increase in the use of BUPivacaine (Liposomal) by our surgeons. How have you provided clinical decision support to not administer other local anesthetics or other formulations of bupivacaine within 96 hours following bupivacaine (liposomal) administration? Do your pharmacists receive any kind of alert?

Thank you in advance.
Damon

Does anyone have a process in place for preparation and administration of Cyanokit for pediatrics? We have reached out to the manufacturer, and they do not have any suggestions and have only studied administration using their tubing for adults. We are trying to determine if we should prepare it in the pharmacy vs. keep in the Omnicell for nurses to prep. (If it wasn't so time-sensitive we would certainly suggest pharmacy prep). Is anyone using Alaris to administer this drug?